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This paper aims to share with readers some points on the matter of integration/continuity that we have reached thanks to our professional experience in health-care planning and organization. These points have been confirmed by our experience in the field and by cross-fertilization with other branches of knowledge (sociology, epistemology, management science, education theory, etc.). They represent a difficult process of de-structuring of knowledge, but at the same time opened a path to research, discovery and learning that deeply influenced our way of understanding institutional organizations and has conditioned our operational choices and decisions.